DRG Revenue Review Specialist

Job Summary

A company is looking for a Transfer DRG Revenue Review Specialist to capture lost revenue for hospitals by investigating patient discharge statuses.

Key Responsibilities

• Communicate with payer and facility representatives to verify patient discharge dispositions
• Document communications for internal team review and verify claims with updated coding
• Analyze information from multiple sources to identify relevant facility information

Required Qualifications

• Associate's Degree or one year of relevant work experience preferred
• Experience reviewing hospital claims and general revenue cycle experience preferred
• Professional experience communicating with insurance companies
• Ability to navigate hospital optical storage and patient accounting systems
• Intermediate computer skills, including MS Office Access, Excel, and Word